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Late Outcome of Extra-anatomic Bypass for Infected Abdominal Aortic Aneurysm

  • Atsushi Tabuchi
  • Hisao Masaki
  • Yasuhiro Yunoki
  • Takuro Yukawa
  • Hiroshi Kubo
  • Eiichiro Inagaki
  • Sohei Hamanaka
  • Kazuo Tanemoto
Conference paper

We examined the surgical result and late outcome of the extra-anatomic bypass for infected abdominal aortic aneurysm. Seven patients underwent operations in our institution and were male with a mean age of 68.4 years. Our surgical procedure was an extra-anatomic bypass grafting (axillo-bilateral femoral bypass). There was a resection of the aneurismal wall and debridement of all infected tissue. Aortic and iliac arterial stumps were closed by direct sutures and covered by the greater ometum. The post-operative early complications were an aortic stump disruption due to retroperitoneal abscess in one patient. There were no hospital deaths. The late outcome was a left renal abscess in one patient and he underwent a left nephrectomy and drainage 14 months after his operation. The unilateral bypass graft occlusion occurred in the bilateral axillo-femoral bypass grafting, and he underwent femoro-femoral crossover bypass grafting 12 months after his operation. Late death occurred with one patient due to cerebral vascular disease and other patients continued follow-up examinations 15 to 132 months after their operations. No one had aortic stump disruption, recurrence of infected aneurysm and/or limb ischemia. We concluded that the extra-anatomic bypass for infected abdominal aortic aneurysm was a safe and excellent method.

Keywords

Bypass Grafting Late Outcome Infected Tissue Abdominal Aortic Aneurysm Limb Ischemia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer 2009

Authors and Affiliations

  • Atsushi Tabuchi
    • 1
  • Hisao Masaki
    • 1
  • Yasuhiro Yunoki
    • 1
  • Takuro Yukawa
    • 1
  • Hiroshi Kubo
    • 1
  • Eiichiro Inagaki
    • 1
  • Sohei Hamanaka
    • 1
  • Kazuo Tanemoto
    • 1
  1. 1.Division of Thoracic and Cardiovascular Surgery, Department of SurgeryKawasaki Medical SchoolKurashikiJapan

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